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01.06.2011 | Original Article

German Association of Endocrine Surgeons practice guidelines for the surgical treatment of benign thyroid disease

verfasst von: Thomas J. Musholt, Thomas Clerici, Henning Dralle, Andreja Frilling, Peter E. Goretzki, Michael M. Hermann, Jochen Kußmann, Kerstin Lorenz, Christoph Nies, Jochen Schabram, Peter Schabram, Christian Scheuba, Dietmar Simon, Thomas Steinmüller, Arnold W. Trupka, Robert A. Wahl, Andreas Zielke, Andreas Bockisch, Wolfram Karges, Markus Luster, Kurt W. Schmid, The Interdisciplinary Task Force “Guidelines” of the German Association of Endocrine Surgeons

Erschienen in: Langenbeck's Archives of Surgery | Ausgabe 5/2011

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Abstract

Introduction

Benign thyroid disorders are among the most common diseases in Germany, affecting around 15 million people and leading to more than 100,000 thyroid surgeries per year. Since the first German guidelines for the surgical treatment of benign goiter were published in 1998, abundant new information has become available, significantly shifting surgical strategy towards more radical interventions. Additionally, minimally invasive techniques have been developed and gained wide usage. These circumstances demanded a revision of the guidelines.

Methods

Based on a review of relevant recent guidelines from other groups and additional literature, unpublished data, and clinical experience, the German Association of Endocrine Surgeons formulated new recommendations on the surgical treatment of benign thyroid diseases. These guidelines were developed through a formal expert consensus process and in collaboration with the German societies of Nuclear Medicine, Endocrinology, Pathology, and Phoniatrics & Pedaudiology as well as two patient organizations. Consensus was achieved through several moderated conferences of surgical experts and representatives of the collaborating medical societies and patient organizations.

Results

The revised guidelines for the surgical treatment of benign thyroid diseases include recommendations regarding the preoperative assessment necessary to determine when surgery is indicated. Recommendations regarding the extent of resection, surgical techniques, and perioperative management are also given in order to optimize patient outcomes.

Conclusions

Evidence-based recommendations for the surgical treatment of benign thyroid diseases have been created to aid the surgeon and to support optimal patient care, based on current knowledge. These recommendations comply with the Association of the Scientific Medical Societies in Germany requirements for S2k guidelines.

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Titel: German Association of Endocrine Surgeons practice guidelines for the surgical treatment of benign thyroid disease
verfasst von: Thomas J. Musholt
Thomas Clerici
Henning Dralle
Andreja Frilling
Peter E. Goretzki
Michael M. Hermann
Jochen Kußmann
Kerstin Lorenz
Christoph Nies
Jochen Schabram
Peter Schabram
Christian Scheuba
Dietmar Simon
Thomas Steinmüller
Arnold W. Trupka
Robert A. Wahl
Andreas Zielke
Andreas Bockisch
Wolfram Karges
Markus Luster
Kurt W. Schmid
The Interdisciplinary Task Force “Guidelines” of the German Association of Endocrine Surgeons
Publikationsdatum: 01.06.2011
Verlag: Springer-Verlag
Erschienen in: Langenbeck's Archives of Surgery / Ausgabe 5/2011
Print ISSN: 1435-2443
Elektronische ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-011-0774-y

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Abstract

Introduction

Methods

Results

Conclusions

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